Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $38.02	Professional		$21.88	$30.20	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,949.84	Facility		$1,148.15	$1,148.15	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $35.48 / $70.79	Professional		$33.11	$35.48	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,348.96	Facility		$977.24	$1,148.15	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $107.15	Professional		$21.88	$33.88	$107.15